UNIVERSITY OF MILAN PROSPECTUS, ACADEMIC YEAR 2011/12 SINGLE CYCLE DEGREE COURSE IN MEDICINE AND SURGERY (Class LM-41) International Medical School GENERAL INFORMATION Degree classification: LM-41 MEDICINA E CHIRURGIA Qualification issued: Master’s degree Active curricula: International Medical School - Humanitas Length of the course: 6 years Total credits to acquire: 360 st nd Years of course enabled: 1 , 2 Access mode: Programmed Course code: D56
REFERENCES Dean of the Faculty Prof. Virgilio F. Ferrario President of the Teaching Co-ordination Committee Prof. Gianluca Vago
Referees
Prof. Alberto Mantovani
Prof. Marco Montorsi
Prof. Massimo Roncalli Office of Medical Education
Prof. Guido Coggi, Dr. Licia Montagna Dr. Sonia Visioli Secretary
Dr. Cinzia Celeste Email:
[email protected] [email protected] Tel. + 39 02 82245620
FEATURES OF THE COURSE Introduction These regulations apply to the teaching activities and management of the single cycle degree course in Medicine and Surgery known as University of Milan International Medical School set up at the Istituto Clinico Humanitas (CLM) as part of class LM-41 in the Faculty of Medicine and Surgery at the University of Milan. The course lasts six years. ‘
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General and specific training objectives The degree course consists of 360 credits overall, spread over a six-year programme, of which at least 60 must be acquired in training aimed at the acquisition of sp ecific professional abilities. Graduates in the degree courses in Medicine and Surgery must have: scientific bases and the necessary theoretical-practical preparation pursuant to Directive 75/363/CEE on the practice of the medical profession, and the necessary methodology and culture for the practice of continuing training. They also must show a level of professional, decisional and operative autonomy arising from a training path featuring a holistic approach to health problems of healthy and ill people, also in relation to the chemical-physical, biological and social environments surrounding them. Graduates are also required to master essential theoretical knowledge arising from basic sciences and apply it in the perspective of subsequent professional application, to show the ability to note and critically assess data relating to the state of health and illness of an individual, to know the physiopathology and organ and apparatus pathologies, interpreting them in the light of basic scientific knowledge from a clinical point of view and, globally, also extended to the sociocultural dimension and type. Also, the capability and experience, joined with self-assessment ability, of facing and solving the priority health problems responsibly from the preventive, diagnostic, prognostic, therapeutic and rehabilitative points of view are required. The knowledge of historic, epistemological and ethical dimensions of medicine, the ability to communicate with the patient and his/her relatives clearly and with humanity, the ability to cooperate with the different professional figures in the various group health activities, the ability to apply the principles of health economics in medical decisions and the ability to recognise health problems in the community and intervene in a competent manner are essential part of the student learning path.
Professional profile and employment possibilities The professional profile of graduates is characterized by a sound scientific knowledge of diseases and diagnostic procedures, by a strong ethical structure, accountability, consciousness of own’s limitations, understanding of cultural diversity, capability to solve urgent health problems, and respect for each individual, regardless of his/her religion, values, race, sex, or any other peculiarities. They have matured a strongly integrated approach to the patient, critically assessing not only the clinical aspects but also paying special attention to the relational, educational, social and ethical aspects involved in the prevention, diagnosis and treatment of illness, as well as the rehabilitation and recovery of the highest level of psychophysical well being possible.
Graduates in the Medicine and Surgery degree courses will carry out medical-surgical work in the different professional clinical, health and bio-medical roles and spheres. The degree in Medicine and Surgery gives access to the State Examination for authorisation to practise as a M.D. Once the examination has been passed, access is given to registration in the relative professional order. In addition, the degree in Medicine and Surgery is a requirement for entry to the Postgraduate Medical Schools or the postgraduate courses for general practitioner.
Structure of the course The planned length of the single cycle degree course in Medicine and Surgery is six years, divided into 12 semesters, during which a total of 274 credits (CFU, University Formative Credits) will be distributed during traditional lessons, training work in small groups, classr oom exercises, laboratories, and seminars, and distance training; 60 credits will be obtained from professionalising activities and 8 credits from individually selected activities. Also 18 CFU are accredited for the preparation of the final thesis.
PASSAGE TO THE FOLLOWING YEARS Only those students who have successfully taken the examinations set out in t he table below by the end of the session in September will be permitted to move from one year of the course to the next: To enrol in the:
The following must be passed:
2nd year 3rd year 4th year
Human body From atoms to cells Mechanism of diseases
VALIDITY OF CFU (University Formative Credits) Following each exam successfully passed, the Student shall be credited of the pertinent CFU. The validity of the CFU is submitted to a confirmation and validation 10 years after its acquisition RECOGNITION OF STUDIES COMPLETED IN OTHER CENTRES OR OTHER COURSES OF STUDY The studies carried out at other courses in the university and other universities, and the credits awarded as their result, will be acknowledged by the Faculty on the proposal of the Teaching Co-ordination Committee (TCC) for Medicine and Surgery, which may set up an ad hoc commission. If the criteria for progress from one year to another have been satisfied, the commission will indicate the examinations confirmed and the course year to which the student may be admitted. Enrolment in a specific year of the course is, in any case, subject to the availability of places, on the basis of the maximum number of students scheduled for admission by the Faculty. CONSCIENTIOUS OBJECTION TO ANIMAL EXPERIMENTATION In compliance with Act No. 413 of October 12, 1993 "Regulations on conscientious objection to animal experimentation" the Faculty of Medicine recognizes the undisputed right to conscientious objection by students. Students may be exonerated from the attendance of laboratory exercises in which testing is scheduled on live or dead animals. The achievement of the scientific and practical knowledge for passing the exams will be granted, in accordance with the educational objectives of the specific degree programs, through substitutive methods suggested by the teachers.
Teaching activities a) Lectures and seminars A lecture is the presentation by the teacher of the course content regarded as fundamental for the acquisition of the basic knowledge in a given discipline. As the learning also takes place through other interactive teaching methods, the number of hours in lectures and other formal lessons is lower than in traditional medical degree courses. A seminar is similar to a lecture but is conducted by a number of teachers with different skills, and annotated as such in the register of the lessons taught by each of them.
b) Interactive teaching Interactive teaching activities geared towards a small group of students and co-ordinated by a tutor, with a view to facilitating the students in acquiring knowledge, abilities and behavioural models. Learning mainly takes place through the stimuli from the analysis of problems finalized to their solution through adequate decisions Also, interactive teaching takes place in the clinical wards and laboratories, with the assistance of qualified university or hospital professionals. c) Distance Learning The Faculty may make use of audio-visual technologies, installed in specially equipped rooms, for some courses. The special rooms enable students to follow the lecturer ‘live’ even though he may be in another centre. The audio-visual equipment allows the lecturer and students to interact during the lesson . d) The international Medical School curriculum also includes a variety of learning /teaching on the field ELECTIVE TRAINING CHOSEN BY THE STUDENTS The course provides for training work chosen b y the student, distributed throughout the entire course of study. These selected activities offer the student the opportunity to analyse specific or innovative subjects, choosing from a range of suggestions offered each year by the Faculty . Selected activities may be of different types and must be attended. The three types of selected activity are configured:
1. seminar type courses; 2. internships; 3. participation in conferences and congresses. Similarly, a fourth type of selected activity can be configured: 4. ‘summer internships’, whose regulation is covered by Art. 8 of the Faculty Regulations on Selected Activities. The student will mature 1 credit for every three conferences/congresses attended during the chosen course of study for Type 3 activities (attendance at conferences and congresses). T he student can acquire a maximum of 1 credit for attending Type 3 activities (attendance at conferences and congresses) during the period of the chosen studies. The final assessment on the selected activities will be made with a judgement of approved or not approved. The specific regulation of selected activities can be found in the Faculty Regulations on Selected Activities, and also in the specific provisions of t he Teaching Regulations for the degree course. Attendance to teaching activities The student is required to attend all the teaching activities, with a tolerance of no more than 25% of the hours. Students are required to sign their attendance at each learning activities. Should the number of absences be higher than 25%, the Teaching Committee will take the necessary measures. Examinations Each course has a single exam, which is always individual, and the mark will be expressed in thirtieths. Ongoing tests (prove in itinere) are also performed,, exclusively with a view to confirming the effectiveness of the learning and teaching processes in relation to the course content in question. These tests have no official certifying value. Studies and training abroad Students who take advantage of the European Union mobility programmes are permitted to attend a foreign university for a maximum of two semesters, from the seco nd year of the course onwards. In accordance with the procedures in force, students who intend to take advantage of this opportunity are required to present an application to the course commission which describes the work they wish to do at the foreign university (learning agreement ). The procedures and criteria set out by the Faculty and University will apply for the assessment and approval of applications.
Training carried out abroad as part of the E uropean Union mobility programmes for students and the credits applicable to them are fully or partially acknowledged for the award of the degree, as set out in the European Credit Transfer System (ECTS). Students can apply for the recognition of the period of study abroad as a selected activity, as set out by the Faculty Regulations. Students are exonerated from the requirement to attend the teaching activities of the degree course during the periods abroad, duly authorised in accordance with this article. Features of the final test The final test enables 18 training credits to be acquired and focuses on the discussion of an original thesis written by the student under the guidance of a controlling member of staff (supervisor). Admission criteria for the final test The degree examination focuses on the discussion of an original thesis written in English by the student under the guidance of a controlling member of staff; an as sistant supervisor may also be involved. The student has to have taken all the examinations set out in the study plan and obtained a total of 342 teaching credits to be admitted to the degree examination. The final marks, out of a total of 110, are decided by: a. the mark for the presentation in the degree session (average out of 110), b. the marks allocated by the degree commission. The marks allocated to each candidate by the members of the commission are secret. The maximum number of marks that may be allocated by the degree commission is 10, in addition to the average presentation marks. Only candidates whose presentation mark is at least 102 can obtain the maximum total marks (110), and this is subject to confirmation of the results he has achieved and the unanimous approval of the commission.
ACCESS: 1st YEAR PROGRAMMED Operational instructions All the degree courses in Medicine and Surgery of the Faculty of Medicine and Surgery of the University of Milan have programmed access and require an admission test. Pursuant to Law 264 dated 2.8.1999, the test is the same for all Italian public universities and takes place on the same day and at the same time; however, the
classification is drawn up for each university. To enter medical school in Italy all citizens have to pass an admission test. The access procedures to the international course are the same as those for the other degree courses. The admission will also be subject to a check on the knowledge of English ; non-EU citizens must also pass an Italian test .The International Medical School is making available 20 places for EU students and 20 places for non-EU students who do not fall within the provisions of Legislative Decree 286 of 25.7.1998, amended by Law 189 dated 30.7.2002. The four courses activated for the academic years 2010/2011are: - Single cycle degree course in Medicine and Surgery, Central unit (Class LM-41, code D51); - Single cycle degree course in Medicine and Surgery, Vialba unit (Class LM-41, code D52); - Single cycle degree course in Medicine and Surgery, San Paolo unit (Class LM-41, code D53); - Single cycle degree course in Medicine and Surgery, San Paolo unit (Class LM-41, code D56). The number of students who can be admitted is defined annually by a Decree of the Ministry of Education and Research (MIUR), taking account of the training potential declared by the university on the basis of the teaching and clinical resources and structures available, and also the requirements shown by the Lombardy Region and the competent Ministry referring to the requirement for medical staff with the reference professional profile. Candidates who have a High School Diploma or alternative qualification achieved abroad and recognised as suitable can be admitted to the single cycle degree courses in Medicine and Surgery. There is only one admission test to the three degree courses in Medicine and Surgery. Candidates will be asked to indicate the order of preference concerning the three degree courses at the time of registering for the admission test; assignment will be made according to admission classification, respecting the preferences indicated (first choice for the first in the list and then graduated until all the posts available are filled; subsequently there will be the second and third choices). Candidates in an appropriate position in the classification of the admission test must complete registration through the on-line SIFA terminal and lodge the relative application for enrolment within the terms set out by the Notice of Competition, at the Secretary for Faculty of Medicine and Surgery Students, Via Santa Sofia 9 , Milan. All the degree courses in Medicine and Surgery of the Faculty of Medicine and Surgery of the University of Milan have programmed access and set out an admission test. Pursuant to Law 264 dated 2.8.1999 The admission test shall be in English and shall include 80 questions on topics such as biology, chemistry, physics, and reasoning. The International Medical School is making available 30 places for EU students and 20 places for non-EU students who do not fall within the provisions of Legislative Decree 286 of 25.7.1998, amended by Law 189 dated 30.7.2002.
Test method The admission test consists of a written test based on multiple-choice questions, according to a special program provided by the MIUR. The test will take place on a national level in September on a date to be established by the MIUR.
1°YEAR Acti viti es requi red Distribution annual
annual 1 semester
Course teaching
Module
Scientific field
Cfu
From Atoms to cells (tot. cfu: Biochemistry 25) Biology Genetics Molecular Biology Medical Physics Human Body (tot. cfu: 20) Histology and embryology Anatomy Introduction to Medical Internal Medicine Profession (tot. cfu: 4) General pedagogy Occupational Medicine Hystory of medicine
12 BIO/10 5 2 3 3 7 13
BIO/13 MED/03 BIO/11 FIS/07 BIO/17 BIO/16
1 MED/09 1 M-PED/01 1 MED/44 1 MED/02
Total CFU required
49
2°YEA R (fr om a.a. 2011/12) Acti vities requir ed Distribution
Course teaching
Module
Cfu
Scientific field
annual
annual
Functions (tot. cfu: 29)
Phisiology Biochemistry Medical Physics Anatomy
16 6 3 3
Mechanisms of diseases (tot. General pathology and immunology cfu: 22) Microbiology Biochemistry Molecular Biology
BIO/09 BIO/10 FIS/07 BIO/16
14 MED/04 6 MED/07 1 BIO/10 1 BIO/11
Total CFU required
50
3°YEA R (fr om a.a. 2012/13) Acti vities requir ed Scientific field
Distribution
Course teaching
Module
annual
Communication Skills (tot. cfu: 7)
Clinical psychology
4 M-PSI/08
General Psychology Internal medicine
2 M-PSI/01 1 MED/09 5 MED/01
Clinical Biochemistry
2 BIO/12
Microbiology Clinical Pathology
1 MED/07 1 MED/05
cardiovascular diseases
5 MED/11
1 semester 1 semester
1 semester
2 semester 2 semester
Biostatistics Laboratory Medicine (tot. cfu: 4)
System Diseases 1 (tot. cfu: 17)
Cfu
Nephrology Pharmacology Pathology Internal medicine General surgery Radiology General pathology Human genetics ICT for Medicine (tot. cfu: 3) Statistic informatics System Diseases 2 (tot. cfu: Pharmacology 16) Radiology Blood diseases Reumathology Pathology Internal medicine General surgery respiratory diseases General pathology biology
4 2 1 1 1 1 1 1 1 2
1 4 1 1 1 1 4 1 1
Total CFU required
52
MED/14 BIO/14 MED/08 MED/09 MED/18 MED/36 MED/04 MED/03 MED/01 INF/01
1 BIO/14 MED/36 MED/15 MED/16 MED/08 MED/09 MED/18 MED/10 MED/04 BIO/13
4°YEA R (fr om a.a. 2013/14) Acti vities requir ed Distribution
Course teaching
1 semester 1 semester
Dermatology Head and Neck (tot. cfu: 7)
1 semester
System Diseases 3 (tot. cfu: 19)
2 semester
Infectious Diseases
Module
Scientific field
Cfu
Otorhinolaryngology Dental medicine Ophthalmology Anatomy Maxillofacial (a.a. 11-12) Functions (a.a. 11-12)
3 1 2 2 1 1 1
MED/35 MED/31 MED/28 MED/30 BIO/16 MED/29 BIO/09
Pharmacology
1 BIO/14
Radiology Gastroent erology endocrinology Pathology Internal medicine General surgery General pathology Human genetics
1 5 4 2 2 2 1 1 5
MED/36 MED/12 MED/13 MED/08 MED/09 MED/18 MED/04 MED/03 MED/17
2 semester 2 semester 2 semester
Pathology Pharmacology Radiology and radiotherapic
6 MED/08 6 BIO/14 3 MED/36 Total CFU required
50
5°YEA R (fr om a.a. 2014/15) Acti vities requir ed Scientific field
Distribution
Course teaching
Module
annual
Patient Management 5 anno (tot. cfu: 14)
Internal medicine
6 MED/09
General surgery Plastic surgery Statistics Rehabilitation Medicine Nursing
4 1 1 1 1
1 semester
1 semester 1 semester
2 semester 2 semester
Cfu
Bone and Joint Diseases (tot. Reumathology cfu: 7) orthopedics Rehabilitation Medicine Mental Health (tot. cfu: 5) Psychiatry Clinical Psychology Neurology (tot. cfu: 8) Neurology Anatomy Human Physiology Neurosurgery Obstetrics and Gynecology Public Health and environmental medicine (tot. Occupational Medicine cfu: 12) Hygiene applied economics
MED/18 MED/19 MED/01 MED/34 MED/45
2 MED/16 4 1 4 1 5 1 1 1 5
MED/33 MED/34 MED/25 M-PSI/08 MED/26 BIO/16 BIO/09 MED/27 MED/40
5 MED/44 6 MED/42 1 SECS-P/06
Total CFU required
51
6°YEA R (fr om a.a. 2015/16) Acti vities requir ed Scientific field
Distribution
Course teaching
Module
1 semester
Emergencies (tot. cfu: 4)
General Suergery Internal Medicine Anesthesiology
1 semester
Forensic Medicine Patient Management 6 anno (tot. cfu: 9)
1 1 2 3
Internal Medicine
5 MED/09
General Surgery Pediatrics Infant Neuropsychiatry
4 MED/18 5 MED/38 1 MED/39
1 semester 2 semester
Pediatrics (tot. cfu: 6)
Total CFU required Final examination
Cfu
MED/18 MED/09 MED/41 MED/43
22 18
Atti vitàa scelta By the end of 6 years students should acquire 8 credits in elective activities.
Clerkship Patient management (att.prof) (tot. cfu: 13)
Internal medicine
General surgery Biostatistic (att. prof) Bone and Joint (att.prof) (tot. orthopedics cfu: 4) Rheumatology Dermatology (att. prof) Emergencies (att.prof) (tot. Neurology cfu: 6) Neurosurgery Anesthesiology Cardiovascular diseases orthopedics Laboratory Medicine (att.
7 MED/09 5 MED/18 2 MED/01 2 MED/33 2 MED/16 1 MED/35 1 MED/26 1 2 1 1 1
MED/27 MED/41 MED/11 MED/33 BIO/12
prof) Mental health (att. prof) Neurology (att. prof) System diseases 1 (att.prof) Nephrology (tot. cfu: 9) cardiovascular diseases Urology vascular surgery cardiac surgery System diseases 3 (att.prof) Gastroenterology (tot. cfu: 6) endocrinology Obstetrics and gynecology (att. prof) Pediatrics (att. prof) Public health and environmental medicine (att. prof) Radiology and radiotherapic (att. prof) System diseases 2 (att.prof) respiratory diseases (tot. cfu: 7) Blood diseases thoracic surgery Head and Neck
Otorhinola ryngology Total CFU required
REQUIREMENTS Some exams are compulsory to ensure the progressive, balanced cultural growth of the student. To take the following examination(s): Mechanism of diseases System diseases 1, 2 and 3 Patient management Emergency medicine
System diseases 1, 2 and 3
The following exams must have been taken: From atoms to cells; Functions Mechanisms of diseases System disease 1, 2 and 3 Neurology Pathology Pharmacology Radiology and radiotherapy Mechanisms of diseases
1 MED/25 2 MED/26 3 MED/14 3 1 1 1
MED/11 MED/20 MED/22 MED/23
4 MED/12 2 MED/13 2 MED/40 3 MED/38 1 MED/44 2 MED/36 3 MED/10 3 MED/15 1 MED/21 1 MED/31 60
